Senior Director, Coding Services

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🔥 10 minutes ago

🇺🇸 United States – Remote

💵 $147k - $183k / year

⏰ Full Time

🟠 Senior

👔 Director

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.

📋 Description

• Direct and implement strategic efforts across Risk Adjustment coding operations • Ensure training, production, and quality/audit plans meet client timelines • Identify operational risks and develop mitigation strategies • Coordinate with executive and operational departments on client contracts and service-level agreements • Analyze quality reports, metrics, and SLAs to identify trends and process-improvement opportunities • Design and implement process redesigns • Oversee onshore and offshore coding production, coding accuracy, staff management, and vendor performance • Monitor productivity and address client-team performance concerns • Review and communicate internal system reports across production and quality accuracy • Participate in production meetings and develop coding and quality production plans, including targeted audits • Communicate production plans and project priorities to managers for client-product onboarding and scheduling • Analyze coding accuracy trends and implement auditing, mentoring, and focused training activities • Collaborate with IT, Data Operations, Data Analytics, Training, and Human Resources to resolve production issues • Attend client meetings with Client Services regarding production and quality • Communicate coding-standard noncompliance findings and facilitate department communications to senior leadership and managers • Hire, develop, coach, lead, and retain talent • Complete performance-plan responsibilities and assigned special projects

🎯 Requirements

• Required coding certification: RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H, nationally certified by AAPC or AHIMA • CRC certification is a plus • BS degree preferred • 10+ years of medical coding or record abstraction experience may substitute for the preferred BS degree • 10+ years of HCC or Risk Adjustment experience • 5+ years managing coding production and quality/audit staff • 3+ years in a leadership role with formal direct reports • 5+ years in a client-facing role • Deep understanding of client business needs, challenges, and industry trends • Ability to translate client needs into concrete initiatives and business cases • Ability to establish, monitor, and enforce staffing and production schedules • Ability to use data to identify production and quality trends and develop corrective plans • Coding subject-matter expertise for Medicare, Medicaid, and Commercial Risk Adjustment coding guidelines • Excellent written, communication, coaching, interpersonal, and client-interaction skills • Analytical and critical-thinking skills • High proficiency in computer applications and technology, including advanced Excel skills • Ability to manage multiple client deliverables and competing deadlines • Awareness of and adherence to HIPAA privacy and security regulations • Flexibility to participate in an international organization’s work processes and global-time-zone conference calls • Minimal travel required • After-hours or weekend work may be required for major deliverables or deadlines • Must be able to perform duties with or without reasonable accommodation • Must provide a dedicated, secure work area • Must provide high-speed internet access/connectivity and office setup and maintenance

🏖️ Benefits

• Medical, dental, vision, disability, and life insurance coverage • 401(k) savings plans • Paid family leave • 9 paid holidays per year • 17–27 days of Paid Time Off (PTO) per year, depending on specific level and length of service • Minimal travel requirements • Remote work arrangement • Equal employment opportunity